Risk factors for premature placental abruption: a retrospective observational comparative study

封面

如何引用文章

全文:

详细

AIM: This study aimed to determine the risk factors for premature placental abruption (PPA).

MATERIALS AND METHODS: A retrospective comparative study was conducted at the Republican Perinatal Center of Petrozavodsk. The study group included 106 patients with a confirmed diagnosis of PPA from 2007 to 2017. The control group (comparison) included 106 women without PPA and abnormal placenta.

RESULTS: The statistical data analysis revealed the following risk factors of PPA: lack of higher education in the patient (odds ratio [OR]: 0.51, 95% confidence interval [CI]: 0.28–0.90); smoking (OR: 3.41, 95% CI: 1.29–8.97); chronic liver disease (OR: 7.29, 95% CI: 1.60–33.06); uterine abnormalities (OR: 8.57, 95% CI: 1.05–69.79); and pelvic inflammatory disease (OR: 6.12, 95% CI: 2.56–14.62). The effect of chronic hypertension, chronic kidney disease, and anemia on the occurrence of PPA in our study was not significant.

CONCLUSION: An increased risk of PPA was found in patients who smoke without higher education with chronic liver disease, uterine abnormalities, and pelvic inflammatory diseases.

作者简介

Irina Rudakova

Petrozavodsk State University; Republican Perinatal Center

编辑信件的主要联系方式.
Email: irinarudakova21@gmail.com
ORCID iD: 0000-0003-2131-487X

Postgraduate Student, Obstetrician-Gynecologist

俄罗斯联邦, Petrozavodsk; 9, Syktyvkarskaya str., Petrozavodsk, 185002

Efim Shifman

Moscow Regional Research Clinical Institute named after M.F. Vladimirsky

Email: eshifman@mail.ru
ORCID iD: 0000-0002-6113-8498

MD, Dr. Sci. (Med.), Рrofessor

俄罗斯联邦, Moscow

Galina Tikhova

Petrozavodsk State University

Email: tikhovag@gmail.ru
ORCID iD: 0000-0003-1128-9666

research associate

俄罗斯联邦, Petrozavodsk

参考

  1. Tikkanen M. Placental abruption: epidemiology, risk factors and consequences. Acta Obstet Gynecol Scand. 2011;90(2):140–149. doi: 10.1111/j.1600-0412.2010.01030.x
  2. Downes KL, Grantz KL, Shenassa ED. Maternal, labor, delivery, and perinatal outcomes associated with placental abruption: a systematic review. Am J Perinatol. 2017;34(10):935–957. doi: 10.1055/s-0037-1599149
  3. Waters JH, Bonnet MP. When and how should I transfuse during obstetric hemorrhage? Int J Obstet Anesth. 2021;46:102973. doi: 10.1016/j.ijoa.2021.102973
  4. Hasegawa J, Katsuragi S, Tanaka H, et al. Decline in maternal death due to obstetric haemorrhage between 2010 and 2017 in Japan. Scientific Reports. 2019;9(1):1–7. doi: 10.1038/s41598-019-47378-z
  5. Schmidt P, Skelly CL, Raines DA. Placental abruption (abruptio placentae). Treasure Island, FL : StatPearls Publishing; 2022.
  6. Ananth CV, Jablonski K, Myatt L, et al. Risk of ischemic placental disease in relation to family history of preeclampsia. Am J Perinatol. 2019;36(6):624–631. doi: 10.1055/s-0038-1672177
  7. Johnson KM, Smith L, Modest AM, et al. Angiogenic factors and prediction for ischemic placental disease in future pregnancies. Pregnancy Hypertens. 2021;25:12–17. doi: 10.1016/j.preghy.2021.05.011
  8. Ni S, Wang X, Cheng X. The comparison of placental abruption coupled with and without preeclampsia and/or intrauterine growth restriction in singleton pregnancies. J Matern Fetal Neonatal Med. 2021;34(9):1395–1400. doi: 10.1080/14767058.2019.1637850
  9. Tikkanen M, Riihimäki O, Gissler M, et al. Decreasing incidence of placental abruption in Finland during 1980–2005. Acta Obstet Gynecol Scand. 2012;91(9):1046–1052. doi: 10.1111/j.1600-0412.2012.01457.x
  10. Downes KL, Shenassa ED, Grantz KL. Neonatal Outcomes Associated with Placental Abruption. Am J Epidemiol. 2017;186(12):1319–1328. doi: 10.1093/aje/kwx202
  11. Heitkamp A, Meulenbroek A, van Roosmalen J, et al. Maternal mortality: near-miss events in middle-income countries, a systematic review. Bull World Health Organ. 2021;99(10):693. doi: 10.2471/BLT.21.285945
  12. Bezhenar VF, Filippov OS, Adamyan LV, Nesterov IM. Monitoring in obstetric critical care (“maternal near miss”) in the Northwestern Federal District of the Russian Federation in 2018–2019. Journal of Obstetrics and Women’s Diseases. 2021;70(1):5–18. (in Russ). doi: 10.17816/JOWD64123
  13. Martinelli KG, Garcia ÉM, Santos Neto ETD, Gama SGND. Advanced maternal age and its association with placenta praevia and placental abruption: a meta-analysis. Cad Saude Publica. 2018;34(2):e00206116. doi: 10.1590/0102-311X00206116
  14. Guo GL, Zhang YK, Li YL, et al. Epidemiological characteristics and related risk factors on placental abruption in Hebei Province. Zhonghua Liu Xing Bing Xue Za Zhi. 2018;39(12):1621–1625. doi: 10.3760/cma.j.issn.0254-6450.2018.12.016
  15. Huang K, Yan J, Li X, et al. A risk factor analysis and prediction model of placental abruption. Int J Clin Experim Med. 2019;12(11):13023–13031.
  16. Doi L, Williams AJ, Marryat L, Frank J. Cohort study of high maternal body mass index and the risk of adverse pregnancy and delivery outcomes in Scotland. BMJ Open. 2020;10(2):e026168. doi: 10.1136/bmjopen-2018-026168
  17. Mitro SD, Sanchez SE, Palomino H, Gelaye B, Williams MA. Childhood abuse, intimate partner violence, and placental abruption among Peruvian women. Ann Epidemiol. 2019;31:26–31. doi: 10.1016/j.annepidem.2018.12.003
  18. Ibrahimou B, Albatineh AN, Salihu HM, Gasana J. Ambient PM 2.5 aluminum and elemental carbon and placental abruption morbidity. J Occup Environ Med. 2017;59(2):148–153. doi: 10.1097/JOM.0000000000000927
  19. Ohira S, Motoki N, Shibazaki T, et al. Alcohol Consumption During pregnancy and Risk of placental Abnormality: The Japan environment and Children’s study. Sci Rep. 2019;9(1):10259. doi: 10.1038/s41598-019-46760-1
  20. Eubanks AA, Walz S, Thiel LM. Maternal risk factors and neonatal outcomes in placental abruption among patients with equal access to health care. J Matern Fetal Neonatal Med. 2021;34(13):2101–2106. doi: 10.1080/14767058.2019.1657088
  21. Shobeiri F, Masoumi SZ, Jenabi E. The association between maternal smoking and placenta abruption: a meta-analysis. J Matern Fetal Neonatal Med. 2017;30(16):1963–1967. doi: 10.1080/14767058.2016.1235694
  22. Association of Nephrologists. Clinical recommendations. Chronic kidney disease (CKD). Moscow; 2021. 233 p. (in Russ).
  23. Cahen-Peretz A, Sheiner E, Friger M, Walfisch A. The association between Müllerian anomalies and perinatal outcome. J Matern Fetal Neonatal Med. 2019;32(1):51–57. doi: 10.1080/14767058.2017.1370703
  24. Khazaei S, Jenabi E, Veisani Y. The association of Mullerian anomalies and placenta abruption: a meta-analysis. J Matern Fetal Neonatal Med. 2019;32(3):512–516. doi: 10.1080/14767058.2017.1379072
  25. Kitaya K, Matsubayashi H, Yamaguchi K, et al. Chronic endometritis: potential cause of infertility and obstetric and neonatal complications. Am J Reprod Immunol. 2016;75(1):13–22. doi: 10.1111/aji.12438
  26. Pakhomova ZhE, Komilova MS. Evaluation of Endothelial Dysfunction of the Fetoplacental Complex in Premature Abruption of Normally Positioned Placenta. The Bulletin of Contemporary Clinical Medicine. 2016;9(1):51–56. (in Russ). doi: 10.20969/vskm.2016.9(1).51-57
  27. Keag OE, Norman JE, Stock SJ. Long-term risks and benefits associated with cesarean delivery for mother, baby, and subsequent pregnancies: Systematic review and meta-analysis. PLoS Med. 2018;15(1):e1002494. doi: 10.1371/journal.pmed.1002494
  28. Kojima T, Takami M, Shindo R, et al. Perinatal outcomes of recurrent placental abruption. J Matern Fetal Neonatal Med. 2021;34(13):2192–2196. doi: 10.1080/14767058.2019.1660766
  29. Hiersch L, Shinar S, Melamed N, et al. Recurrent placenta-mediated complications in women with three consecutive deliveries. Obstet Gynecol. 2017;129(3):416–421. doi: 10.1097/AOG.0000000000001890
  30. Rudakova IS, Shifman EM, Gumenyuk EG, Tikhova GP. Preterm placental abruption. Epidemiology, risk factors. Systematic review. Gynecology, Obstetrics and Perinatology. 2021;20(3):118–133. (In Russ). doi: 10.20953/1726-1678-2021-3-118-133

补充文件

附件文件
动作
1. JATS XML
下载
2. Fig. Scheme of selection of cases of premature placental abruption (PPA) for research.

下载 (150KB)
索引源数据

版权所有 © Rudakova I.S., Shifman E.M., Tikhova G.P., 2022

Creative Commons License
此作品已接受知识共享署名-非商业性使用-禁止演绎 4.0国际许可协议的许可。

Согласие на обработку персональных данных

 

Используя сайт https://journals.rcsi.science, я (далее – «Пользователь» или «Субъект персональных данных») даю согласие на обработку персональных данных на этом сайте (текст Согласия) и на обработку персональных данных с помощью сервиса «Яндекс.Метрика» (текст Согласия).